accelerated hypertension and atrial fibrillation

[Guest guest]

Dear Liz

I think you are mixing accelerated hypertension and atrial fibrillation. The

question is the line of treatment of the patient who has accelerated

hypertension. There are certain conditions of sudden fluctuations of blood

pressure which you have already mentioned. Still I am of the opinion that while

treating patient of accelerated hypertension by any method it is very risky to

suddenly lower blood pressure.

Vaidya Upadhye

_

Any physician has seen reactive states where the blood pressure

suddenly soars. ....

Such states can subside as rapidly as they started, in

fact many patients have several of these reactive states in one day.

[Guest guest]

ayurveda , ajeya upadhye

<ajeyaupadhye wrote:

> I think you are mixing accelerated hypertension and atrial

fibrillation. ....

>I am of the opinion that while treating patient of accelerated

>hypertension by any method it is very risky to suddenly lower blood

pressure.

 

I was simply refering to the many types of reactive states where there

is rapidly rising BP. There are many such reactive states and the

causes are many but the common factor is rapidly rising catecholomines

which are the actual trigger for the BP. As far as your point about

rapidly bringing down BP; I agree in theory, but as you know bringing

down BP rapidly with Beta-blockers and medicines like calcium channel

blockers, and ACE inhibitors is standard therapies in Allopathy. Often

the physician has little choice when the patient is facing a crisis.

In young people I would say wait and see if the BP goes down by

itself, in conditions like panic reaction the BP often falls on it's

own within a short time.

In TCM there is a standard therapy that

simply pricks the finger with a needle and draw a little blood, this

can sometimes bring down the blood pressure. The approach will depend

on the individual patient, in an older person with heart disease it is

often a choice of whether to take the chance of a stroke or to let the

case run on it's own and chance a heart attack. In my residency I

worked for two years in an Emergency Room, when facing crisis the

physician is often facing several dangerous options and must decide

which dangerous option is the best to take. Most cases of simple

reactivity resolve themselves within a short time, then others do

not, the physician has to make the decision on the spot. Many

Ayurvedic physicians do not face such situations and even if they do

their choice are very limited. In modern times in western countries if

a physician refuses to give any or all avaliable medicines and the

patient is harmed it would probably be the end of that physicians

career. Physicians in western countries frequently are walking a very

narrow tight rope that they must be very careful about otherwise they

can fall off. In theory I agree with you but in practice it often is

not so clear cut. Many times I have prescribed medicines I do not like

simply I had no other choices. This is a big subject which I have

written a lot about in the past.

 

Many medicines are harmful but at times one does not have a choice

like in the case of antibiotics. If a physician is confronted with a

very high fever in a child because of severe bacterial infection and

the child is in danger of dying then one will have to give emergency

antibiotics and worry about the consequences of that later, at least

the child will still be alive. Traditional medicine is often limited

in dangerous accute conditions.

[Guest guest]

> I think you are mixing accelerated hypertension and atrial

fibrillation. The question is the line of treatment of the patient who

has accelerated hypertension. There are certain conditions of sudden

fluctuations of blood pressure which you have already mentioned. Still

I am of the opinion that while treating patient of accelerated

hypertension by any method it is very risky to suddenly lower blood

pressure.

 

Dear Vaidya Upadhye;

 

 

Although I tried to clarify my comments earlier I wanted to go a

little deeper into the subject as it relates to arrhythmias and

reactive hypertension since Ayurveda has great scope in these cases.

The underlying trigger for reactive hypertension is the same as for

most cases of A-fib, which is the rapid release of catecholomines.

Several issues can contribute to these states. One frequently sees

imbalances in the ANS (Autonomic Nervous System) because of an

imbalance in the HPA-axis, this creates a generalized hypersensitivity

in the SNS (Sympathetic Nervous System) and these patients are prone

to many types of over reactivity which causes elevated levels of

adrenaline, this condition creates at times rapid release of

adrenaline which overwhelms the already hypersensitive SNS.

 

If one is interested in this subject here is wiki link that gives a

simple overview of HPA – axis problems.

 

http://en.wikipedia.org/wiki/Hypothalamic-pituitary-adrenal_axis

 

This is the major pathology that underlies many disease processes,

which have hyper reactivity as a major component. In general these

cases can be called as stress disorders and they become worse as we

age and are less able to keep control of our energy. Although these

cases are basic Vata disorders one cannot overlook the Pitta and ama

components. As example it is the high levels of toxins and acid

conditions which contribute to the hypersensitivity of the SNS and the

subsequent over reactivity of the adrenal glands. One issue in A-fib

is the inflammations in the atrial valve; in these cases one will see

generalized inflammatory conditions in various places in the body. Ama

will also of course be present and will also interfere with electrical

conductivity throughout the heart not just in the atrial valve. The

Chinese call ama in the heart as `phlegm mist obstructing the openings

of the heart'.

 

In ordinary hyper reactivities without heart involvements the

treatment approach is the same; calm the SNS and CNS by removing the

excess acids, toxins, and ama, which are irritating these systems.

Reduction of toxic levels by facilitating digestion and keeping the

bowels open is essential, the liver should always be looked at here,

since it is responsible for transforming and eliminating these many

acid toxins. When the toxic conditions in the blood are reduced the

SNS and CNS will naturally relax allowing the ANS to go back into a

more normal reactive/relaxation balance, this stops the continuous

over stimulation of the adrenal glands further correcting the

hypereactivities. To the degree that the adrenals are calmed to that

same degree will the hyper reactivity states subside, thus resetting

the HPA- axis. One has seen excellent results in reactive hypertension

by cleaning up the blood, same with panic attacks and fear reactions.

Since hypoglycemia and hyperglycemia are often seen in these cases of

sudden loss of control of the energy, insulin will have to be looked

at (Syndrome X is a common component of HPA- axis issues). All chronic

major internal stressors will have to be addressed, but clearing up

the blood by removing the excess acids, toxins, and ama will go a long

way toward calming these over reactive states.

 

Taking these issues into account it is clear why using the allopathic

techniques of sedation and blocking of the reactive states is in no

way a cure for these problems in fact they become a trap that many

patients fall into, since the real cause of the problems are not

addressed the patient ends up having to take more and more drugs to

keep the reactivity's under control. Many elderly people with

arrhythmias and hypertension have to take hand fulls of medicines to

control their blood pressure, and their other reactive states. Over

sedating these cases is not the answer, these people are already weak

and defficient, solving the reasons for the reactivity's in the first

place, is the answer.

 

In acute cases rectal oil implants can be very helpful, like injecting

small doses of castor oil in the rectum and leaving in over night,

oil therapies in general are of course useful in reactive states. Good

sleep is essential in these cases but this also will improve when the

irritants are reduced and the SNS - CNS are calmed.

 

Dr. E. Hall MD

[Guest guest]

The reference to pricking the finger to reduce B/P is of interest since when

the question was ask re the veracity of treating CVA by pricking & drawing

blood from each finger - no one replied with comments - if you saw this post

would you comment on the effectiveness of this treatment for CVA?

 

Best,

 

Jane

________________________________

In TCM there is a standard therapy that

simply pricks the finger with a needle and draw a little blood, this

can sometimes bring down the blood pressure.

[Guest guest]

Dear Liz

Thanks for detail explanation.

It is my request you to elaborate the same pathophysiology only in Ayurvedic

terms if you can for the benefit fo Vaidya. I mean instade of using terms like

ANS or SNS if you can apply Vyan Vayu Prakopa, Rhudrava etc. then the concepts

will become more clear in the light of Ayurvedic Principals.

Once again thanks

Vaidya Upadhye

________________________

Although I tried to clarify my comments earlier I wanted to go a

little deeper into the subject as it relates to arrhythmias and

reactive hypertension since Ayurveda has great scope in these cases.

[Guest guest]

Dear Liz

Thanks a lot for detail discription.

I think Ayurveda has an answer to reactive hypertension.

Though hypertension is not mentioned in the original text of Ayurveda we could

classify the reactive hypertension as per principals given by Ayurveda.

I am putting my thoughts in front of all for discussion.

Chala characteristic is only of Vata dosha. Due to this Chala characteristic

the Vata dosha gets stimulated very easily. Vyana vayu's function is to

circulate blood flow with appropriate pressure. Hence while treating reactive

hypertension one should concentrate on Vyana vayu.

Bruhatavata chintamani is a very good preparation for reactive hypertension of

any cause. The said medicine will not directly lower the blood pressure but will

act on Vyana vayu, control on Chala guna and as an after effect will reduce

blood pressure. I

I am putting this hypothesis though I have never used it on reactive

hypertension.

Thanks

Vaidya Upadhye

www.astroayurvedalogy.com

www.astrotreat.blogspot.com

 

 

__________________

I was simply refering to the many types of reactive states where there

is rapidly rising BP. There are many such reactive states and the

causes are many but the common factor is rapidly rising catecholomines

which are the actual trigger for the BP.